| NPI | 1316428097 |
|---|---|
| Former Name | NHUNG NANCY PHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: TX PA12187) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2022-12-06 |